DR. CHAN YOUNG PARK
NPI 1154044428
Counselor - Professional in Fairfax, VA

Q: What is Chan Young Park's NPI number?

The NPI number for Chan Young Park is 1154044428. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Q: What is Chan Young Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Chan Young Park was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2022

3915 OLD LEE HWY # 234, FAIRFAX, VA 22030(703) 259-5617(703) 552-2037 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Chan Young Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHAN YOUNG PARK (NPI 1154044428) is an individual professional provider in Fairfax, Virginia and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1154044428

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. CHAN YOUNG PARK

Location Address3915 OLD LEE HWY # 234Fairfax, VA 22030-2432

Mailing Address3915 Old Lee Hwy # 234Fairfax, VA 22030-2432 · (703) 259-5617 · Fax (703) 552-2037

Phone(703) 259-5617

Fax(703) 552-2037

Sole ProprietorYes

Enumeration DateSeptember 22, 2022

NPPES CertifiedSeptember 22, 2022

✔ NPI 1154044428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

3915 OLD LEE HWY # 234, Fairfax, VA 22030

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chan Young Park's NPI number?

The NPI number for Chan Young Park is 1154044428. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Chan Young Park located?

Chan Young Park practices at 3915 Old Lee Hwy # 234, Fairfax, VA 22030. The listed phone number is (703) 259-5617.

What is Chan Young Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Chan Young Park was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.